Individual
DR. MICHAEL LYNN HIGGINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1177 N EAGLE RD, EAGLE, ID 83616-5017
(208) 939-3010
(208) 939-3027
Mailing address
1177 N EAGLE RD, EAGLE, ID 83616-5017
(208) 939-3010
(208) 939-3027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3380
ID
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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